| NPI | 1073846549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE R GRADEN President 406-360-2068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: MT 944) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2024-06-27 |